JOB TITLE: Registered Nurse, Intensive Care Unit, Coronary Care Unit, High Dependency Unit

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1 JOB TITLE: Registered Nurse, Intensive Care Unit, Coronary Care Unit, High Dependency Unit 1. PURPOSE OF POSITION The Registered Nurse will provide optimum care utilising nursing knowledge and skills to patients within the Intensive Care Unit, Coronary Care Unit High Dependency Unit (ICU CCU HDU). The Registered Nurse is expected to be available for rostered duties as directed by the Clinical Nurse Manager or his/her designate. Liaise with the Clinical Nurse Manager in regards to any nursing, risk management, equipment maintenance, quality improvement or patient safety Issues and ensure efficient and effective use of all consumables. 2. ORGANISATIONAL VALUES The Taranaki District Health Board (TDHB) is committed to the strategic actions and behaviours of Work Together : Treating people with trust, respect and compassion Communicating openly, honestly and acting with integrity Enabling professional and organisational standards to be met Support achievement and acknowledging successes Creating healthy and safe environments Welcoming new ideas 3. DIMENSIONS Reports to: Clinical Nurse Manager ICU/CCU/HDU Number of people reporting to you - Financial limits authority - Operating Budget - 4. WORKING RELATIONSHIPS External Patients and Public Internal Clinical Nurse Manager Other Registered Nurses/Healthcare Assistants/Administrative staff Medical Staff Referring Clinicians THL Staff Page 1 of 6

2 5. ACCOUNTABILITIES Key area of responsibility 1. Clinical Duties To perform nursing duties on a rostered basis to achieve optimum patient management and care 2. Patient Care and Customer Service Responsible for providing quality care for patients and ensuring an excellent customer focus in all working relationships. Expected outcomes Maximum safety levels are observed at all times. Maintenance of infection control standards at all times. Patients, and where appropriate their families, are involved in the planning of care and are kept informed at all appropriate stages. Able to undertake assessment and management of patients in a safe effective, timely and appropriate manner to maximise patient wellbeing. Regular assessment of patient condition is undertaken. Patient care meets the standards of nursing practice. Care is customer focused and planned with regard to ethnic, cultural, religious and other individual needs. Information related to care is accurately documented with regard to immediate and long term care of the patient in the Unit. Patient management data is regularly assessed for future planning and enhancement of care. Ensure exchange of patient information with ICU staff, medical staff and ward staff occurs. Liaise with other Wards, Services and Departments within the Company as appropriate. Health promotion activities are undertaken relevant to patients, and the health care setting. The multidisciplinary team is given access to the patient to achieve maximum wellbeing. The role of patient advocate is undertaken to ensure procedures and care is appropriate. Respond appropriately in an emergency situation and ensure emergency equipment is maintained in top condition. Take responsibility for patient care in the ward where based or deployed to. Function competently within skill levels in designated areas of the hospital. Use assessment skills to plan and implement appropriate patient care. Evaluate the effectiveness of care and treatment Co-ordinate care with other health personnel to ensure quality service. Provide a friendly secure environment to overcome patient fear and stress. Acts as patient advocate when necessary. Communicate with patients, relatives and staff in an open friendly, clear, effective and helpful manner. Demonstrate cultural sensitivity. Maintain confidentiality and the right to privacy. Last Updated: August 2014 Page 2 of 6

3 3. Environment and Facilities 4. Team Work 5. Staff Development Relatives and/or support groups (whanau) are informed as appropriate and necessary. Update IBA patient information as required. Maintains environment and facilities to ensure effective, quality service provision. Reports equipment malfunction and facilities issues to the Clinical Nurse Manager. Provides patients with a clean, tidy environment, enhancing patient and staff comfort and safety. Maintains an environment which prevents spread of infection. Disposes of sharps, glass and infectious material in accordance with established protocols. Proactive and responsible in respect to health and safety. Ensures that the equipment, and other related support infrastructure, is well maintained in your area of responsibility. Regular cleaning and checking of equipment is carried out according to requirements or as determined by the Clinical Nurse Manager. Promotes the fostering of a team environment which enhances partnership and co-operation. To be available for team development sessions as requested by the Clinical Nurse Manager. Assists in the development of new policies and procedures within the Company where appropriate. Attends Company/team staff meetings where possible. Demonstrates a commitment to continual improvement activities and undertakes such, as appropriate. Develops and encourages customer focus. Facilitates the appropriate exchange of patient information between the multidisciplinary team and other departments/services within the organisation. Provides appropriate supervision and direction to Enrolled Nurses, and direction and supervision to HCAs performing delegated patient care tasks, if and when they are working within the department. Participates in regular Performance Reviews. Participates in inservice education and encourages others to do so. Participates in the ongoing training of staff in the advent of equipment or protocol changes. Participates in the orientation of new staff. Undertakes additional courses and conferences to promote personal and professional development. Shares knowledge and skills with others, as required. A high level of nursing practise and expertise with equipment is maintained for safety and to ensure effectiveness of patient care and performance. Last Updated: August 2014 Page 3 of 6

4 6. Decision Making Maintains CPR, IV additives, and Pain Register certification plus additional components relevant to area. The Nurse will have the delegated authority to make all necessary decisions about the management of the patient for this position's area of responsibility and accountability as documented under nursing protocols. Organisational Accountabilities Expected Outcome for all employees Treaty of Waitangi The Taranaki District Health Board embraces the three principles of the Treaty of Waitangi. In practical terms this means: Partnership; working together with iwi, hapu, whanau and Maori communities to develop strategies for improving the health status of Maori Participation; involving Maori at all levels of the sector in planning, development and delivery of health and disability services that are put in place to improve the health status of Maori Protection; ensuring Maori wellbeing is protected and improved as well as safeguarding Maori cultural concepts values and practices Health and Safety Maintains a safe and healthy environment Complies with health & safety policies and procedures Carries out work in a way that does not adversely affect their health and safety or that of other workers Complies with procedures and correctly use personal protective equipment and safety devices provided Contributes to hazard identification and management process Reports accurately near misses/incidents/accidents in a timely manner Participates in health and safety matters Personal Development Fully contributes to the individuals team performance and is committed to identify and pursue opportunities for developing new knowledge and skills. Participates in the performance appraisal process where personal performance and development is reviewed. Willing to accept new responsibilities, acquire and demonstrate relevant new knowledge. Last Updated: August 2014 Page 4 of 6

5 7. VARIATION TO DUTIES Duties and responsibilities described above should not be construed as a complete and exhaustive list as it is not the intention to limit in any way the scope or functions of the position. Duties and responsibilities can be amended from time to time either by additional, deletion or straight amendment to meet any changing conditions, however this will only be done in consultation with the employee. 8. CAPABILITY REQUIREMENTS Capabilities are the behaviours demonstrated by a person performing the job. Capabilities identify what makes a person most effective in a role. Those listed below are expected for the ICU/CCU/HDU team roles in the organisation. The required capabilities can change as the organisation develops and the roles change. Capability Effective Communication Shares well thought out, concise and timely information with others using appropriate mediums. Ensures information gets to the appropriate people within the organisation to facilitate effective decision making Decision Making/Problem Solving Demonstrates effective and timely decision making/problem solving techniques. Aware of the impact of decisions on key stakeholders and consults as appropriate utilizing available resources. Is proactive and effective when problem solving is required. Innovation/Initiative Continually strives for new and improved work processes that will result in greater effectiveness and efficiencies. Questions traditional ways of doing things when choosing a course of action or finds new combinations of old elements to form an innovatve solution. Resilience/Flexibility Articulates differing perspectives on a problem and will see the merit of alternative points of view. Will change or modify own opinons and will switch to other strategies when necessary. Adjusts behaviour to the demands of the work environment in order to remain productive through periods of transition, ambiguity, uncertainty and stress. Cultural Safety Demonstrates a commitment to cultural safety by meeting and exceeding the cultural needs of clients/customers/colleagues. Manages cultural ambiguity and conflicting priorities well. Understands concepts of whanaungatanga and manaakitanga and Maori cultural orientation to whanau, hapu and iwi. Teamwork Works to build team spirit, facilitates resolution of conflict within the team, promotes/protects team reputation, shows commitment to contributing to the teams success Last Updated: August 2014 Page 5 of 6

6 9. EDUCATION Registered Nurse with the Nursing Council of New Zealand, holding a current annual practising certificate. 10. SKILLS Able to communicate effectively with all staff, patients and patient s families or care givers (written and verbal). Show mutual respect - positively contributing to the good of the department. Have a commitment to quality and accuracy and is keen to learn and develop new skills. Dedicated team player with a willingness to learn new skills. Shows a caring but professional manner in all aspects of work. Is aware of and sensitive to all cultural issues. Able to cope with a high and varied work load including emergency situations. Time management skills and ability to prioritise. Demonstrates initiative. Flexible and adaptable, and prepared to move to other clinical areas and work within own skill levels to best meet the needs of the organisation. Knowledge of Quality Assurance and accreditation principles, and a commitment to continuous quality improvement. Ability to maintain confidentiality at all times. 11. EXPERIENCE Recent ICU and/or CCU and or HDU experience. Significant acute medical and/or surgical nursing experience. Last Updated: August 2014 Page 6 of 6